Individual
ANDREW TILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 E 141ST ST, GLENPOOL, OK 74033-3807
(918) 291-4230
Mailing address
9332 S 93RD EAST AVE, TULSA, OK 74133-5664
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2402
OK
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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